IMPACT PHYSICIAN GROUP, TENNESSEE LLC
NPI 1265320055
Internal Medicine in Germantown, TN
About Impact Physician Group, Tennessee Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, TENNESSEE LLC (NPI 1265320055) is a healthcare organization registered as an internal medicine in Germantown, Tennessee and active in the NPI registry since June 2025. The organization lists Paul Miller, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Physician Group, Tennessee Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Impact Physician Group, Tennessee LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 21Tupelo, MS 38801
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Impact Physician Group, Tennessee LLC's NPI number?
The NPI number for Impact Physician Group, Tennessee LLC is 1265320055. It was assigned to this organization in the NPPES registry on June 27, 2025.
Where is Impact Physician Group, Tennessee LLC located?
Impact Physician Group, Tennessee LLC is located at 1240 S Germantown Rd, Germantown, TN 38138. The listed phone number is (901) 275-3300.
What is Impact Physician Group, Tennessee LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Impact Physician Group, Tennessee LLC enrolled in Medicare?
Yes. Impact Physician Group, Tennessee LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Tennessee LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Impact Physician Group, Tennessee LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Internal Medicine (7) and Family Practice (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Physician Group, Tennessee LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Impact Physician Group, Tennessee Llc · NPI 1265320055
Internal Medicine organization in Germantown, Tennessee. Organization record, active in the CMS NPPES registry since June 27, 2025.
## Identity
- **NPI:** 1265320055 (Entity type: Organization)
- **Enumerated:** June 27, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CFO
## Practice location
- **Address:** 1240 S GERMANTOWN RD, Germantown, TN 38138-2226
- **Phone:** (901) 275-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (7), Family Practice (3); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1265320055/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265320055) · Data from the CMS NPPES public registry.